Inspection Summary

Oct 2021 – Sep 2025
67%
of inspections passed with no issues found
16 of 24 inspections · Oct 2021 – Sep 2025
Inspections with issues
8 of 24 inspections
Total violations cited
55 violations total

Inspection Details

Oct 2021 – Sep 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
September 9, 2025 Complaint Survey 1 Violation
Admission and retention standards.
Regulation cited: CFR 1001.7 (d) (1-5)
Plan/Notice of Correction Approved
August 6, 2025 Complaint Survey 2 Violations
Resident protections
Regulation cited: CFR 487.5 (a) (3) (xi)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (6) (iii)
Plan/Notice of Correction Approved
June 3, 2025 Complaint Survey 0 Violations

✓ No violations found

May 6, 2025 Complaint Survey 0 Violations

✓ No violations found

March 27, 2025 Relicensure, Complaint Survey 29 Violations
General provisions
Regulation cited: CFR 487.3 (b)
Plan/Notice of Correction Approved
Admission standards
Regulation cited: CFR 487.4 (m)
Plan/Notice of Correction Approved
Resident protections
Regulation cited: CFR 487.5 (a) (3) (xi)
Plan/Notice of Correction Approved
Resident protections
Regulation cited: CFR 487.5 (f) (16)
Plan/Notice of Correction Approved
Resident funds and valuables
Regulation cited: CFR 487.6 (f) (1)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (1-4)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (5)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (11) (iii)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (11) (vii)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (11) (x)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (11) (xi)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (g) (3)
Plan/Notice of Correction Approved
Food service
Regulation cited: CFR 487.8 (c)
Plan/Notice of Correction Approved
Food service
Regulation cited: CFR 487.8 (d) (9)
Plan/Notice of Correction Approved
Food service
Regulation cited: CFR 487.8 (e) (1)
Plan/Notice of Correction Approved
Food service
Regulation cited: CFR 487.8 (e) (9-10)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (a) (15)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (a)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (h) (9-10,19)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (j) (1-3)
Plan/Notice of Correction Approved
Disaster and emergency planning
Regulation cited: CFR 487.12 (a-b)
Plan/Notice of Correction Approved
Disaster and emergency planning
Regulation cited: CFR 487.12 (i)
Plan/Notice of Correction Approved
Admission and retention standards.
Regulation cited: CFR 1001.7 (h) (1)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (i) (1)
Plan/Notice of Correction Approved
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
Medication management.
Regulation cited: CFR 1001.10 (l) (3)
Plan/Notice of Correction Approved
Supervision in special needs assisted living.
Regulation cited: CFR 1001.10 (n) (5) (i-iii)
Plan/Notice of Correction Approved
Records and reports.
Regulation cited: CFR 1001.12 (c) (3)
Plan/Notice of Correction Approved
Structural and environmental standards.
Regulation cited: CFR 1001.13 (b)(5), (b)(6)(1-12)
Plan/Notice of Correction Approved
January 24, 2025 Complaint Survey 1 Violation
Resident services
Regulation cited: CFR 487.7 (g) (3)
Plan/Notice of Correction Approved
August 23, 2024 Complaint Survey 0 Violations

✓ No violations found

June 28, 2024 Complaint Survey 0 Violations

✓ No violations found

May 20, 2024 Complaint Survey 0 Violations

✓ No violations found

March 25, 2024 Complaint Survey 0 Violations

✓ No violations found

March 25, 2024 Complaint Survey 0 Violations

✓ No violations found

February 15, 2024 Relicensure Survey 19 Violations
Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Approved
Resident protections
Regulation cited: CFR 487.5 (f) (3)
Plan/Notice of Correction Approved
Resident funds and valuables
Regulation cited: CFR 487.6 (f) (1)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (11) (i-v)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (12) (iii)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Plan/Notice of Correction Approved
Food service
Regulation cited: CFR 487.8 (d) (4,8,10-11)
Plan/Notice of Correction Approved
Food service
Regulation cited: CFR 487.8 (e) (1)
Plan/Notice of Correction Approved
Food service
Regulation cited: CFR 487.8 (e) (9-10)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (a) (8)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (a) (16)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (j) (3-4)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (a)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (f) (11)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (i) (11-12)
Plan/Notice of Correction Approved
Disaster and emergency planning
Regulation cited: CFR 487.12 (f)
Plan/Notice of Correction Approved
Disaster and emergency planning
Regulation cited: CFR 487.12 (h)
Plan/Notice of Correction Approved
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (1)
Plan/Notice of Correction Approved
Supervision in special needs assisted living.
Regulation cited: CFR 1001.10 (n) (5) (i-iii)
Plan/Notice of Correction Approved
November 13, 2023 Complaint Survey 0 Violations

✓ No violations found

November 2, 2023 Complaint Survey 1 Violation
Resident services
Regulation cited: CFR 487.7 (f) (5)
Plan/Notice of Correction Approved
October 6, 2023 Other Survey 0 Violations

✓ No violations found

March 8, 2023 Complaint Survey 0 Violations

✓ No violations found

January 11, 2023 Complaint Survey 0 Violations

✓ No violations found

October 20, 2022 Complaint Survey 0 Violations

✓ No violations found

August 26, 2022 Relicensure, Complaint Survey 1 Violation
Resident services
Regulation cited: CFR 487.7 (f) (11) (i-v)
Plan/Notice of Correction Approved
July 25, 2022 Other Survey 0 Violations

✓ No violations found

May 25, 2022 Other Survey 0 Violations

✓ No violations found

February 9, 2022 Complaint Survey 0 Violations

✓ No violations found

November 3, 2021 Other Survey 0 Violations

✓ No violations found

September 9, 2021 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved

Enforcement & Orders

Oct 2021 – Sep 2025
2 enforcement actions — Stipulation & Order agreement signed with the NY Department of Health.
August 27, 2025
Stipulation & Order
#ACF-25-049
November 1, 2022
Stipulation & Order
#ACF-22-058